MRS. LORI GRISHAM (NPI# 1528443298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528443298 |
| Entity Type | Individual |
| Full Name | MRS. LORI GRISHAM |
| Credential | MT |
| Practice Address |
751 Hebron Pkwy Suite 110 Lewisville TX 75057-5055 |
| Mailing Address |
109 Oakwood Ln Hickory Creek TX 75065-7673 |
| Practice Telephone | 9404531597 |
| Mailing Telephone | 9404531597 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QL0900X |
Spec/Tech, Pathology Specialization: Laboratory Management |
69721 | OK | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
751 HEBRON PKWY SUITE 110 |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75057-5055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962500587 | Kimberly C. Johnson | Clinical Neuropsychologist | 751 Hebron Pkwy, Suite 305d, Lewisville, TX 75057-5055 | 2006-09-20 |
| 1114376811 | Jill Hendrix Denton | Counselor | 751 Hebron Pkwy, Ste #320, Lewisville, TX 75057-5055 | 2016-06-03 |
| 1548634512 | Samuel Peters | Counselor | 751 Hebron Pkwy, Ste. 320, Lewisville, TX 75057-5055 | 2015-11-13 |
| 1891162665 | Trinity Clinical Laboratories, LLC | Clinical Medical Laboratory | 751 Hebron Pkwy, Suite 110, Lewisville, TX 75057-5055 | 2015-08-28 |
| 1851733455 | Lifeview Solutions, Gp | Marriage & Family Therapist | 751 Hebron Pkwy, 320, Lewisville, TX 75057-5055 | 2013-07-23 |
| 1396086609 | Baylor Medical Center At Carrollton | Clinic/Center | 751 Hebron Pkwy, Suite 110, Lewisville, TX 75057-5055 | 2013-03-12 |
| 1154491256 | Medical Edge Healthcare Urgent Care Pa | Clinic/Center | 751 Hebron Pkwy, Suite 100, Lewisville, TX 75057-5001 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932681889 | Creekview Pharmacy LLC | Pharmacy | 880 Hebron Pkwy # 170, Lewisville, TX 75057 | 2018-09-06 |
| 1518450352 | Dorene Ebangha Etarock | Pediatrics | 860 Hebron Pkwy Ste 202, Lewisville, TX 75057 | 2018-06-06 |
| 1346691227 | Janet Swain | Registered Nurse | 860 Hebron Pkwy Ste 1101, Lewisville, TX 75057 | 2016-06-22 |
| 1124486204 | Gold Star Home Healthcare | Home Health | 960 E Hwy 121 Business, Lewisville, TX 75057 | 2016-02-04 |
| 1093173163 | Lifeview Counseling | Community/Behavioral Health | 751 Hebron Pkwy, Ste 320, Lewisville, TX 75057 | 2016-02-04 |
| 1376969766 | Kyle Nix | Chiropractor | 363 W. Main St., Lewisville, TX 75057 | 2014-03-10 |
| 1386082725 | Drew Alan Ratner | Orthopaedic Surgery | 500 W Main St Ste 260, Lewisville, TX 75057 | 2013-06-07 |
| 1194074377 | Cheryl Ann Rayl | Counselor | 401 E. Corporate Drive, Ste. 100, Lewisville, TX 75057 | 2012-09-05 |
| 1053669259 | Vikas Patel | Pharmacist | 880 Hebron Pkwy Ste 170, Lewisville, TX 75057 | 2012-08-17 |
| 1093043507 | Golden Triangle Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | 591 W. Main St., Lewisville Surgery Center, Lewisville, TX 75057 | 2009-11-20 |
| Find all providers in zip 75057 | ||||
| Taxonomy Code | 246QL0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Laboratory Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881702082 | Rafael Angel Andujar | Spec/Tech, Pathology | 2002 Holcombe Blvd Rm 3a-120, Houston, TX 77030-4211 | 2006-08-28 |
| 1104246537 | Dante Enriquez | Spec/Tech, Pathology | 2944 Motley Dr, Suite 105, Mesquite, TX 75150-3460 | 2014-04-24 |
| 1720199250 | Valerie Henson Coleman | Spec/Tech, Pathology | 2002 Holcombe Blvd, Dtcl / P&lms, 113 Laboratory, Houston, TX 77030-4211 | 2006-08-31 |
| 1447365820 | Lenka Dimanina | Spec/Tech, Pathology | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2006-08-19 |
| City | LEWISVILLE |
| Zip Code | 75057 |
Please comment or provide details below to improve the information on MRS. LORI GRISHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.